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Global: ^IBE(355.97

Package: Integrated Billing

Global: ^IBE(355.97


Information

FileMan FileNo FileMan Filename Package
355.97 IB PROVIDER ID # TYPE Integrated Billing

Description

Directly Accessed By Routines, Total: 46

Package Total Routines
Integrated Billing 46 IBCEP2A    IBCEP8    ^IBA(355.91    IB20P212    IB20P279    IBCEF7    IBCEF71    IBCEF72
IBCEF73    IBCEF74A    IBCEF75    IBCEF76    IBCEF77    IBCEF80    IBCEFP    IBCEMU3
IBCEP    IBCEP2    IBCEP2B    IBCEP3    IBCEP4A    IBCEP7    IBCEP7A    IBCEP7C
IBCEP9    ^IBA(355.96    IBCEF74    IBCEP5A    IBCEP5B    IBCEP5D    IBCEQ1    ^IBA(355.9
^IBA(364.5    ^IBE(355.97    ^IBE(399.6    IBCEP9B    IBCEPU    IBCU    IBY137PO    IBY155PO
IBY232PO    IBY232PR    IBY280PR    IBY320PO    IBY320PR    IBY343PR    

Accessed By FileMan Db Calls, Total: 14

Package Total Routines
Integrated Billing 14 IBCBB13    IBCEP0    IBCEP5B    IBCEP5D    IBCEP8    IBCEP8B    IBCNSC1    IBCU
IBY137PO    IBY232PO    IBY232PR    IBY280PR    IBY320PO    IBY343PR    

Pointed To By FileMan Files, Total: 7

Package Total FileMan Files
Integrated Billing 7 BILL/CLAIMS(#399)[128, 129, 130, #399.0222(.12), #399.0222(.13), #399.0222(.14), #399.0404(.12), #399.0404(.13), #399.0404(.14)]    INSURANCE COMPANY(#36)[4.01, 4.02, 4.04, 4.1]    IB BILLING PRACTITIONER ID(#355.9)[.06]    IB INSURANCE CO LEVEL BILLING PROV ID(#355.91)[.06]    FACILITY BILLING ID(#355.92)[.06]    IB NON/OTHER VA BILLING PROVIDER(#355.93)[.13]    IB INS CO PROVIDER ID CARE UNIT(#355.96)[.06]    

Fields, Total: 17

Field # Name Loc Type Details
.01 NAME 0;1 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3)!'(X'?1P.E) X
  • LAST EDITED:  JUL 24, 2001
  • HELP-PROMPT:  Answer must be 3-30 characters in length.
  • DESCRIPTION:  
    This is the name used to describe the provider id type.
  • CROSS-REFERENCE:  355.97^B
    1)= S ^IBE(355.97,"B",$E(X,1,30),DA)=""
    2)= K ^IBE(355.97,"B",$E(X,1,30),DA)
.02 SOURCE LEVEL MINIMUM 0;2 SET
************************REQUIRED FIELD************************
  • '0' FOR NONE;
  • '1' FOR LICENSING/GOVT AGENCY - EACH PROV;
  • '2' FOR FACILITY - ALL PROV;
  • '3' FOR INSURANCE CO - ALL PROV;
  • '4' FOR INSURANCE CO - EACH PROV;
  • '5' FOR INSURANCE CO - ALL PROV BY CARE UNIT;

  • LAST EDITED:  DEC 17, 2003
  • HELP-PROMPT:  Enter the code that describes how this id type MUST be assigned or 0 for NO minimum requirements
  • DESCRIPTION:  This is the minimum level or criteria of data that MUST be used to search for this type of ID number for a provider. If this field is zero or blank, there are no minimum data requirements to search for an ID for this id
    type.
.03 X12 CODE 0;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>2!($L(X)<1) X
  • LAST EDITED:  DEC 08, 2005
  • HELP-PROMPT:  Answer must be 1-2 characters in length.
  • DESCRIPTION:  
    This is the X12 code that determines the qualifier to be output in the X12 data stream when reporting this type of provider ID number.
  • CROSS-REFERENCE:  355.97^C
    1)= S ^IBE(355.97,"C",$E(X,1,30),DA)=""
    2)= K ^IBE(355.97,"C",$E(X,1,30),DA)
.04 FACILITY'S DEFAULT ID # 0;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<1) X
  • LAST EDITED:  SEP 07, 2000
  • HELP-PROMPT:  Answer must be 1-15 characters in length.
  • DESCRIPTION:  
    This is the number that will be the default for all providers for the id type at the facility if no number exists for the specific provider/ins. co/care unit combination.
.05 RESTRICT EDITING 0;5 SET
  • '0' FOR NO;
  • '1' FOR YES;

  • LAST EDITED:  FEB 07, 2001
  • HELP-PROMPT:  Enter 1 (YES) to prevent users from editing this id type's id #'s at the facility level
  • DESCRIPTION:  
    This field controls whether or not users may edit the id #'s for the provider type at the facility level.
.06 VALID FOR PERFORMING PROVIDER 0;6 SET
  • '0' FOR NO;
  • '1' FOR YES;

  • LAST EDITED:  MAY 09, 2001
  • HELP-PROMPT:  ENTER YES (1) IF THE ID TYPE IS VALID FOR PERFORMING ID
  • DESCRIPTION:  
    This field indicates whether the id type is valid for performing provider ids.
.07 ALLOWABLE FORM TYPE 0;7 SET
  • 'I' FOR INSTITUTIONAL;
  • 'P' FOR PROFESSIONAL;
  • 'B' FOR BOTH INSTITUTIONAL AND PROFESSIONAL;

  • LAST EDITED:  OCT 25, 2006
  • HELP-PROMPT:  Enter I if this is used on UB type forms, P if used on CMS type forms, or B if used on either type.
  • DESCRIPTION:  
    This is a flag used to determine what type of form this qualifier is valid for. It is used to validate provider id file set-up.
.08 ACTIVE 0;8 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  APR 19, 2006
  • HELP-PROMPT:  Enter YES if this entry is Active or NO if it is In-Active
  • DESCRIPTION:  
    This field must be set to YES to allow this qualifier to be selected. Old entries that are no longer allowed should be set to NO.
1.01 STATE DEA# 1;1 SET
  • '0' FOR NO;
  • '1' FOR YES;

  • LAST EDITED:  SEP 07, 2000
  • HELP-PROMPT:  Enter a 1 (yes) if this is a state DEA # id type
  • DESCRIPTION:  
    This is the flag that tells the system this id type is a state DEA # and the data is stored in the NEW PERSON file by state.
    UNEDITABLE
1.02 FEDERAL DEA# 1;2 SET
  • '0' FOR NO;
  • '1' FOR YES;

  • LAST EDITED:  JAN 08, 2001
  • HELP-PROMPT:  Enter a 1 (yes) if this is a federal DEA # id type
  • DESCRIPTION:  
    This is the flag that tells the system this id type is a federal DEA # and the data is stored in the NEW PERSON file.
    UNEDITABLE
1.03 STATE LICENSE # 1;3 SET
  • '0' FOR NO;
  • '1' FOR YES;

  • LAST EDITED:  SEP 07, 2000
  • HELP-PROMPT:  Enter a 1 (yes) if this is a state license # id type
  • DESCRIPTION:  
    This is the flag that tells the system this id type is a state license # and the data is stored in the NEW PERSON file by state.
    UNEDITABLE
1.04 FEDERAL TAX # - FACILITY 1;4 SET
  • '0' FOR NO;
  • '1' FOR YES;

  • LAST EDITED:  SEP 07, 2000
  • HELP-PROMPT:  Enter a 1 (yes) if this is a facility federal tax id # id type
  • DESCRIPTION:  
    This is the flag that tells the system this id type is a facility federal tax id and the data is stored in the IB SITE PARAMETERS file.
    UNEDITABLE
1.05 EMC ID TYPE 1;5 SET
  • '0' FOR NO;
  • '1' FOR YES;

  • LAST EDITED:  SEP 13, 2000
  • HELP-PROMPT:  Enter yes if this type is for EMC ID #
  • DESCRIPTION:  
    This is a flag to indicate if the record is for an EMC ID #
1.06 NETWORK ID TYPE 1;6 SET
  • '0' FOR NO;
  • '1' FOR YES;

  • LAST EDITED:  SEP 13, 2000
  • HELP-PROMPT:  Enter yes if this type is for Network ID #
  • DESCRIPTION:  
    This is a flag to indicate if the record is for a network id #.
1.07 PROVIDER'S OWN ID 1;7 SET
  • '0' FOR NO;
  • '1' FOR YES;

  • LAST EDITED:  APR 27, 2001
  • HELP-PROMPT:  ENTER YES (1) IF THE ID IS A PROVIDER'S PERSONAL #
  • DESCRIPTION:  
    This is the flag that designates an id type is a personal # for the provider, not assigned by the facility or an insurance co
1.08 STORED OUTSIDE OF BILLING 1;8 SET
  • '0' FOR NO;
  • '1' FOR YES;

  • LAST EDITED:  APR 27, 2001
  • HELP-PROMPT:  ENTER 1 IF THIS PROVIDER ID DATA IS NOT STORED IN IB FILES
  • DESCRIPTION:  
    This is the flag that specifies the provider id data is not stored in an IB file.
1.09 BILLING PROVIDER PRIMARY ID 1;9 SET
  • '0' FOR NO;
  • '1' FOR YES;

  • LAST EDITED:  JUN 11, 2004
  • HELP-PROMPT:  Enter a 1 if this is the billing provider's primary id record
  • DESCRIPTION:  
    This field is a 1 (YES) if this is the provider id type that represents the billing provider's primary id.

Found Entries, Total: 26

NAME: BLUE CROSS    NAME: BLUE SHIELD    NAME: CHAMPUS    NAME: COMMERCIAL    NAME: CLIA #    NAME: EMC ID    NAME: MEDICARE PART A    NAME: MEDICARE PART B    
NAME: EMPLOYER'S IDENTIFICATION #    NAME: DEA #    NAME: PROVIDER PLAN NETWORK    NAME: FEDERAL TAXPAYER'S #    NAME: UPIN    NAME: STATE LICENSE    NAME: PPO NUMBER    NAME: HMO    
NAME: SOCIAL SECURITY NUMBER    NAME: STATE INDUSTRIAL ACCIDENT PROV    NAME: LOCATION NUMBER    NAME: ELECTRONIC PLAN TYPE    NAME: MEDICAID    NAME: USIN    NAME: EIN    NAME: CLINIC NUMBER    
NAME: PROVIDER SITE NUMBER    NAME: NATIONAL PROVIDER ID    

Global Variables Directly Accessed

Name Line Occurrences  (* Changed,  ! Killed)
^IBE(355.97 - [#355.97] .01(XREF 1S), .01(XREF 1K), .03(XREF 1S), .03(XREF 1K)

Naked Globals

Name Field # of Occurrence
^(0 ID.03+1

Local Variables

Legend:

>> Not killed explicitly
* Changed
! Killed
~ Newed

Name Field # of Occurrence
>> DA .01(XREF 1S), .01(XREF 1K), .03(XREF 1S), .03(XREF 1K)
U ID.03+1
X .01+1!, .01(XREF 1S), .01(XREF 1K), .03+1!, .03(XREF 1S), .03(XREF 1K), .04+1!
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